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Cited by 140Musculoskeletal pain and rehabilitationShoulder Injury and TreatmentPsychosomatic Disorders and Their Treatments

Social and psychological factors influenced the course of arm, neck and shoulder complaints

Karels, C.H., Bierma-Zeinstra, S.M.A., Burdorf, A., Verhagen, A.P., Nauta, A.P., Koes, B.W.·2007·Journal of Clinical Epidemiology
DOI 10.1016/j.jclinepi.2006.11.012
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Abstract

Objective To investigate the clinical course and prognostic factors of complaints of arm, neck, and shoulder.Study design and setting A prospective cohort study in physical therapy practice. Participating physiotherapists recruited new consulters with musculoskeletal complaints of the neck and/or upper extremities. Participants filled in questionnaires at baseline, 3 months, and 6 months. The main outcome measure was the persistence of complaints over 6-month follow-up. Possible predictors like social and psychological factors, physical factors, and complaint specific factors were tested in univariate and multivariate logistic regression analyses for repeated measurements.Results Of the 624 participants at baseline 543 (87%) returned at least one follow-up questionnaire. At 6-month follow-up, 40% had persisting pain and discomfort. Somatization, kinesiophobia, catastrophizing, and a long duration of complaints at baseline were significantly related to the persistence of complaints over 6 months in the total population. In those with paid work (77%), catastrophizing, low decision authority at work, and a long duration of complaints at baseline were significantly related to the persistence of complaints over 6 months.Conclusion 40% of the participants had persisting pain and discomfort after 6 months and mainly social and psychological factors played a role in this course.

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  • Symptom severity for several pain conditions including irritable bowel syndrome, temporomandibular disorders, headache, and fibromyalgia varies across the menstrual cycle.

    “the severity of symptoms for several pain conditions including irritable bowel syndrome, temporomandibular disorders, headache, and fibromyalgia varies across the menstrual cycle 185–191.”

    From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [187]

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Authors
Karels, C. H., Bierma-Zeinstra, S. M. A., Burdorf, A., Verhagen, A. P., Nauta, A. P., & Koes, B. W.
Affiliations
Erasmus MC (NL)
Corresponding author
Karels, C.H.
ORCID
Venue
Journal of Clinical Epidemiology
Publisher
Elsevier BV
Published
2007-08
Volume
60
Issue
8
Pages
839-848
ISSN
0895-4356 (ISSN-L)
DOI
10.1016/j.jclinepi.2006.11.012
OpenAlex
W2103487148
Cited by
140
References
32
Citations by year
2026: 5 · 2025: 5 · 2024: 6 · 2023: 4 · 2022: 7 · 2021: 5 · 2020: 10 · 2019: 5 · 2018: 13 · 2017: 8 · 2016: 13 · 2015: 8 · 2014: 14 · 2013: 6 · 2012: 8
FWCI
4.45
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of Clinical Epidemiology (publishedVersion)
  • PubMed (publishedVersion)
  • EUR Research Repository (Erasmus University Rotterdam) (publishedVersion)
  • EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
Topics
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Surgery › Shoulder Injury and Treatment
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Keywords
neck pain, shoulder pain, pain persistence, prognostic factors, somatization, kinesiophobia, pain catastrophizing, work-related factors, psychosocial factors
MeSH terms
Adult, Arm Injuries, Female, Follow-Up Studies, Humans, Male, Middle Aged, Musculoskeletal Diseases, Netherlands, Pain Measurement, Prognosis, Prospective Studies, Somatoform Disorders, Stress, Psychological, Task Performance and Analysis, Exercise, Multivariate Analysis, Logistic Models, Treatment Outcome, Neck Pain, Shoulder Pain, Physical Therapy Modalities

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